Workplace Violence Prevention:Keeping Healthcare Workers

and Patients Safe

A2 Quality MeetingNovember 4, 2016Carol Wagner

Alaska State Hospital and Nursing Home Association

Washington State Hospital Association

It is just part of my job…

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Workforce Safety Data

1. Health Care Workers 5 times more likely to be victims than other

industries

2. 55.6% of ED nurses report physical and verbal violence

3. 57.6% of ED nurses rate safety of their ED at 5/10

4. 1/3 ED nurses consider leaving ED because of violence

5. Significant staff turnover with a $60,000 to $100,000 cost for RN

replacement

6. Workplace violence often underreported because accept

conditions as “part of the job” (65.6% to 86.1% victims did not

report)

Thompson, P. Addressing Violence in the Health Care Workplace. July 2, 2015. Hospital & Health Networks.

Nonfatal workplace violence injuries with days away from work, 2005 – 2014

Bureau of Labor Statistics, Table R4. Detailed industry by selected events or exposures, 2005-2014. http://www.bls.gov/iif/oshcdnew2013.htm#Resource_Table_categories_-_2013

All Private Industry

Healthcare/Social

Assistance Healthcare

Healthcare

Percentage

2005 14560 9510 7990 54.9

2006 15970 9640 8320 52.1

2007 16840 9950 8420 50.0

2008 16330 10060 8780 53.8

2009 15450 10040 8680 56.2

2010 16910 11370 9740 57.6

2011 11690 8180 7150 61.2

2012 12780 9170 7970 62.4

2013 13800 10450 9220 66.8

2014 15980 11100 9050 56.6

10 Year Totals 135750 89960 77330 57.0

Who perpetrates most of the violence against healthcare workers?

• Patients

• Family members

• Visitors

• Co-workers – Lateral/horizontal violence

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Emerging Best Practices in Workforce Safety

Olympic Medical Center• Safe Rooms

• Security Sweeps

• Room beds bolted down

EvergreenHealth• Code White: before code green

• Active Shooter Training – run, hide, fight

Mary Bridge Children's Center and Health Network• Clear message to “Protect Yourself First!” – Employee support critical

Whitman Hospital and Medical Center

• Contract with local law enforcement

This is posted in a hospital.

Yours can do it too.

A sign doesn't stop an individual from assaulting staff.

However, this sign does communicate support from administration.

ED Signage Example

On-line Workplace Violence Prevention Course

Content from today’s presentation is:

AVAILABLE NOW

FREE COURSE

FREE CEUs

http://www.cdc.gov/niosh/topics/violence/training_nurses.html

http://www.cdc.gov/niosh/topics/violence/

http://www.cdc.gov/niosh/topics/violence/training_nurses.html

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Data Submission

• Use of standard workers’ compensation “loss runs”• Easily available from insurance carriers or third party administrators (w/ WSHA assistance)

• More accurate than OSHA logs and include the cost component

• Allows identification of focus injury causes also related to patient safety

• No claimant names or social security numbers are requested and all data is confidential• Patient Handling

• Aggressive Behavior

• Slips and Falls

• Hours worked• Necessary to calculate injury rates and account for different hospital size/exposure

• Timeline• Baseline data will be requested at the onset of the project

• 2014 through Q3 2016

• Quarterly data submission requested throughout the project • First quarterly submission due mid-January 2017

Worker Safety Data

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Data Output

• Frequency Rate • Workers’ Compensation Claims per 100 FTEs

• Severity Rate • Workers’ Compensation Costs per 100 FTEs

• Calculated at the Aggregate Level and the Member Level for….• All claims

• Patient Handling

• Aggressive Behavior

• Slips and Falls

• Custom Data Analysis for Members• Assistance with return on investment calculations

• Help members focus on primary cost drivers

Worker Safety Data

Members Can Compare Their Data to the Aggregate but Individual Hospital Data Remains Confidential